Provider Demographics
NPI:1396011417
Name:ARLYN INC
Entity Type:Organization
Organization Name:ARLYN INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PSYCHOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:NANCY
Authorized Official - Middle Name:
Authorized Official - Last Name:MILLER
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:310-832-3140
Mailing Address - Street 1:1450 W 7TH ST
Mailing Address - Street 2:
Mailing Address - City:SAN PEDRO
Mailing Address - State:CA
Mailing Address - Zip Code:90732-3516
Mailing Address - Country:US
Mailing Address - Phone:310-832-3140
Mailing Address - Fax:
Practice Address - Street 1:1450 W 7TH ST
Practice Address - Street 2:
Practice Address - City:SAN PEDRO
Practice Address - State:CA
Practice Address - Zip Code:90732-3516
Practice Address - Country:US
Practice Address - Phone:310-832-3140
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-03-23
Last Update Date:2016-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes305S00000XManaged Care OrganizationsPoint of Service
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA101YM0800XOtherTAXONOMY NUMBER
CA103PC1900XOtherTAXONOMY NUMBER
CA101YP2500XOtherTAXONOMY NUMBER